Postpartum 6-12 ay arasındaki kadınlarda kilo retansiyonunu etkileyen psikososyal faktörler
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu araştırma, postpartum 6-12 ay arasındaki kadınların kilo retansiyonu ve etkileyen psikososyal faktörleri incelemeyi amaçlamıştır. Gereç ve Yöntem: Araştırma tanımlayıcı tipte Covid-19 pandemi zamanında Ocak 2021-Şubat 2023 arasında postpartum 6-12 ay arası olan 350 kadın ile yapılmıştır. Verilerin toplanılması için bireysel soru formu, "Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ), Depresyon, Stres, Anksiyete Ölçeği (DASS-21) ve Beden Memnuniyeti Ölçeği" ile kullanılmıştır. Bulgular: Kadınların postpartum kilo retansiyonu (PPKR) ortalaması 13.71±5.70, %53.7'sinde 10 kg üzerinde PPKR (%43.7 15 kg ve üzeri) belirlenmiştir. Gebelik başlangıcında obezite oranı %2 iken postpartum obezite oranı %35.4 saptanmış ve %33.4 oranında bir artış olmuştur. Gebelik başlangıç beden kitle indeksi normal olan, lise mezunu olan, orta düzeyde geliri olan, şehirde yaşayan, sigara içen, 2 çocuğa sahip, postpartum fiziksel aktivitesi düşük olan, Tıp Enstitüsü (IOM) rehberine göre fazla gestasyonel kilo alımı (GKA) olanların PPKR'nun yüksek olduğu saptanmıştır. Kadınların postpartum 6-12 ay arası sosyal desteği arttıkça PPKR azalmıştır (p<0.05). Depresyon, anksiyete ve stres seviyeleri arttıkça PPKR'nu azalmıştır (p<0.05). Sonuç: Araştırmaya katılan kadınların yarısından fazlasında ?10 kg PPKR bulunmuştur. Kadınların gebelik başlangıcına kıyasla postpartum obezite oranında üçte bir oranında artış olmuştur. Sağlık profesyonelleri; gebelik ve postpartum dönemde kilo yönetimi danışmanlığı yapmalı, fiziksel ve psikososyal faktörlere yönelik girişimler yapmalıdır.
Purpose: This study aimed to examine the weight retention and affecting psychosocial factors in women between 6-12 months postpartum. Materials and Methods: The study was conducted with 350 women who were 6-12 months postpartum between January 2021 and February 2023, at the time of the descriptive Covid-19 pandemic. In order to collect the data, an individual questionnaire was used with the "Multidimensional Scale of Perceived Social Support (ÇBASDÖ), Depression, Stress, Anxiety Inventory (DASS-21) and Body Satisfaction Scale". Results: The mean postpartum weight retention (PPWR) of the women was 13.71±5.70, 53.7% of the women had PPWR over 10 kg (43.7% 15 kg and above). While the obesity rate was 2% at the beginning of pregnancy, the postpartum obesity rate was found to be 35.4% and there was an increase of 33.4%. According to the Institute of Medicine (IOM) guideline, PPWR of those with normal pregnancy-start body mass index, high school graduate, moderate income, living in the city, smoking, having 2 children, low postpartum physical activity, was found to be high. As the social support of women increased between 6-12 months postpartum, PPWR decreased (p<0.05). As depression, anxiety and stress levels increased, PPWR decreased (p<0.05). Conclusions: More than half of the women participating in the study had PPWR ?10 kg. There was a one-third increase in the rate of postpartum obesity in women compared to the onset of pregnancy. health professionals; should provide weight management counseling during pregnancy and postpartum period, and make interventions for physical and psychosocial factors.
Purpose: This study aimed to examine the weight retention and affecting psychosocial factors in women between 6-12 months postpartum. Materials and Methods: The study was conducted with 350 women who were 6-12 months postpartum between January 2021 and February 2023, at the time of the descriptive Covid-19 pandemic. In order to collect the data, an individual questionnaire was used with the "Multidimensional Scale of Perceived Social Support (ÇBASDÖ), Depression, Stress, Anxiety Inventory (DASS-21) and Body Satisfaction Scale". Results: The mean postpartum weight retention (PPWR) of the women was 13.71±5.70, 53.7% of the women had PPWR over 10 kg (43.7% 15 kg and above). While the obesity rate was 2% at the beginning of pregnancy, the postpartum obesity rate was found to be 35.4% and there was an increase of 33.4%. According to the Institute of Medicine (IOM) guideline, PPWR of those with normal pregnancy-start body mass index, high school graduate, moderate income, living in the city, smoking, having 2 children, low postpartum physical activity, was found to be high. As the social support of women increased between 6-12 months postpartum, PPWR decreased (p<0.05). As depression, anxiety and stress levels increased, PPWR decreased (p<0.05). Conclusions: More than half of the women participating in the study had PPWR ?10 kg. There was a one-third increase in the rate of postpartum obesity in women compared to the onset of pregnancy. health professionals; should provide weight management counseling during pregnancy and postpartum period, and make interventions for physical and psychosocial factors.
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing, Kadın Hastalıkları ve Doğum, Maternal obezite, Postpartum kilo retansiyonu, Psikososyal faktör, Risk Faktör, Danışmanlık, Maternal obesity, Postpartum weight retention, Psychosocial factor, Risk Factor, Counseling
